Individual
BRANDI KAY HICKENBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
101 S MAIN ST, WOODSFIELD, OH 43793-1022
(740) 472-1656
Mailing address
PO BOX 941, MARIETTA, OH 45750-0941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017271
OH
Other
Enumeration date
08/29/2018
Last updated
07/26/2019
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